apollo
  • male
  • 65 Years
  • 29/01/2025

I'm wondering if it's okay to take my blood pressure while I'm lying down or if I should always be in a sitting position. Does the blood pressure reading change when I'm lying down compared to when I'm sitting?

Doctor 1

Answered by 1 Apollo Doctors

It is generally recommended to measure blood pressure while sitting, as this is the standard position for accurate readings. However, in some cases, it may be necessary to measure blood pressure while lying down, especially for patients who have difficulty sitting or standing. Blood pressure readings can vary depending on body position, with readings typically lower when lying down compared to sitting or standing.

Dr. Kareemulla Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm a bit worried about my heart health after my MI last January 2018. I was hospitalized and prescribed Elaxim, but no surgeries or stent were necessary. For the past year and a half, I've been taking Clavix AS 150 and Tonact 80mg, but recently I've been having a pricking pain in my chest and sometimes muscle cramps. I saw another cardiologist who suggested switching to Remetor CV and Nuroking D3 since my vitamin D and B12 levels are low. Are these new meds going to be effective for me? How does my heart compare to someone with a normal heart now? I also did a TMT a month ago and walked for 14.9 minutes. What should I be careful about? I drink occasionally, like once every 15 days, is that okay? I dont smoke. Also, I get anxious trying to tell apart a stomach pain from a heart pain since I panic every time I feel those chest pains. What should I look out for?

The medications Remetor CV and Nuroking D3 prescribed by your cardiologist are appropriate for your condition, especially considering your low vitamin D and B12 levels. Remetor CV contains a combination of medications to help manage your heart health, and Nuroking D3 will help improve your vitamin D levels. It is essential to follow your doctor's advice and take the shots as recommended to address your nutritional deficiencies. In comparison to a normal person's heart, your heart health may require closer monitoring and specific medications to manage the aftermath of a heart attack. It is crucial to continue taking your prescribed medications, follow a heart-healthy diet, engage in regular physical activity as tolerated, and attend regular follow-up appointments with your cardiologist. Regarding your lifestyle, it is generally safe to consume alcohol occasionally, as long as it is in moderation and does not interfere with your medications or overall health. However, it is advisable to limit alcohol intake and be mindful of any adverse effects it may have on your heart health. To differentiate between gastric pain and heart pain, it is essential to pay attention to the characteristics of the pain. Heart-related chest pain is often described as pressure, tightness, or squeezing sensation that may radiate to the arms, neck, jaw, or back. It is usually triggered by physical exertion or emotional stress and may be accompanied by shortness of breath, sweating, nausea, or lightheadedness. Gastric pain, on the other hand, is typically associated with digestion, may worsen after meals, and can be accompanied by symptoms like bloating, burping, or acid reflux. If you experience chest pain and are unsure of the cause, it is always best to seek medical attention promptly to rule out any serious cardiac issues.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm kind of worried because I'm experiencing this heaviness in my chest and sometimes have trouble breathing. Plus, there's this pain that hits suddenly, not all the time, but it can come out of nowhere. Should I be concerned?

The intermittent heaviness in your chest, breathing difficulties, and sudden pains may indicate underlying conditions such as angina, acid reflux, asthma, or anxiety attacks; to determine the cause, consult a cardiologist or a primary care physician for a thorough evaluation, including a physical examination, electrocardiogram (ECG), and possibly imaging tests like an echocardiogram or a chest X-ray.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I've recently had a stress echo and it came back negative. Ten years ago, in 2011, I had an angiogram and it looked fine then too. In 2015, I went through a nuclear test, treadmill test, and some other checks, and they all turned out normal. Lately, Ive been having this dull pain in my neck that sometimes reaches up to my ear and jaw, and it also bothers my shoulder. My neck and upper back always feel stiff. My physiotherapist says my posture is pretty poor, mentions scoliosis, and thinks that might be causing this pain. I don't have issues when I'm walking and I can climb up to 12 floors without a problem but the neck and back pain, especially on the left side, really gets to me. Occasionally, I feel a sharp pain on the left side of my chest, but it fades away quickly. My chest is tender, and some spots are really sore to touch. Do you think it's safe to rule out any cardiac causes? Is there any other test I should consider doing?

Based on your history of negative stress echo, normal angio in 2011, and normal nuclear test and TMT in 2015, it is less likely that your current symptoms are related to cardiac issues. However, it is important to consider other potential causes for your neck, ear, jaw, shoulder, and chest pain. Given your description of neck stiffness and pain, along with the presence of scoliosis affecting your posture, it is possible that your symptoms are musculoskeletal in nature. To address your current symptoms, you may benefit from a muscle relaxant such as **Cyclobenzaprine** 10mg to help with the neck and back stiffness. Additionally, you can consider taking **Ibuprofen** 400mg for pain relief. Since you mentioned tenderness in your chest and certain points, it may be helpful to rule out any musculoskeletal chest wall pain. However, considering your history and current symptoms, further cardiac testing may not be necessary at this point. To improve your posture and alleviate the neck and back pain, regular physiotherapy sessions focusing on postural correction and strengthening exercises may be beneficial. It is important to continue working with your physiotherapist to address the underlying cause of your symptoms. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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